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Address: 21711 Cherry Glen Ct <br />U <br />-California Rock &• Ready Mix <br />1200 E. Turner Rd. a Lodi, CA 95240 ell 133892 (209) 368.5351 • Fax (209) 368-5824 <br />tl <br />NAME�� 1 L/,1 r �1 S S DATE �I l <br />ADDRESS T r 4� I e -ti C -9I e h 1101E C�� C <br />TIME �. AMO ITIME AMO 11MWxrvu. 11­11— <br />OUT <br />11 nOUT Lt -LC ' PMO IN PMO <br />CAUTION HANDTROWEL <br />Freshly mixed cement, mortar, HAND FLOAT <br />concrete or grout may cause skin EDGER <br />in ury. Avoid contact with skin ed TRAILER <br />were Posslbro and <br />wwith. wates <br />skin areas p y <br />any cement mixtures get Into eyes, <br />rinse Immediately and repeatedly <br />with water and get prompt medical <br />, CHILDREN OUT OF REACH <br />SALES & RENTAL AGRI <br />• It the egWpmenl b awl piopeM aeened aver use. ke agrees to pay a S`. <br />• II Ina eguipyienl is uses more then Nro hours, lee of 525 per Mur on w <br />merged. 1 nay neon dewerea I <br />• The 1e35ae eckMwiadges N3 MBr�ge aM sgn Nte agreement. T <br />consideration he agrees topes n lM In ns good gent itlan <br />mortgage the leased eqN 1 and <br />to re" <br />cted seid valor, wile, hitch a <br />• ThB lassos aoMnowledgee the, he nes Inspe I a sewn end ma mn <br />and inat no hes bund ,ne " br end rn.ld leased equipment wnla K b In he <br />agmeinq to assume all reaponsi ly <br />• Tha le ung vom anY N 7 ordamage end <br />personlor ptopeM!!w! mery <br />pence ed hof Its beirg In his <br />custody. In the event of Bey <br />P' <br />!n �- <br />proximeb resu M,s. <br />Galifornla aocA d aeadY Ih M laws al the Slnte ""ring Ino use of 1 <br />• The lessee agrees to comPH 's'I <br />tM all nnrP mb1iNY for fre. Iheh. mnfiscabon. end en dletiWs aM pe Iknhant Carr <br />possesalon. <br />We ere not responslble for any damage encountered phiow chat 116yM Y011 <br />materials customer hes ordered• Customer will pay a <br />PLEASE CepF AGAIN <br />while als In or warkln In the area the customer ra wasted. <br />I A UR <br />Q <br />Naseem Ahmed, Registered Environmental Health Specialist <br />ID: WP0041637 <br />